TREVOR THOMAS PETTIGREW


Address: 507 Ne 47th Ave, Portland, OR 97213-2236
Phone: 5032156488

TREVOR THOMAS PETTIGREW (NPI# 1245710847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245710847
Entity Type Individual
Full Name TREVOR THOMAS PETTIGREW
Credential PT, DPT
Practice Address 507 Ne 47th Ave
Portland
OR 97213-2236
Practice Telephone 5032156488
Mailing Telephone 5032156488
Enumeration Date 2018-08-14
Last Update Date 2018-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251S0007X Physical Therapist
Specialization: Sports
61193 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2251X0800X Physical Therapist
Specialization: Orthopedic
61193 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 507 NE 47TH AVE
City PORTLAND
State OR
Zip Code 97213-2236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992797039 Cynthia Ann Bohan Physician Assistant 507 Ne 47th Ave, Suite 200, Portland, OR 97213-2236 2005-08-16
1194209759 Elizabeth Ann Guildenbecher Physical Therapist 507 Ne 47th Ave, Portland, OR 97213-2236 2018-09-19
1225511058 Anita Michele Dunsmoor Occupational Therapist 507 Ne 47th Ave, Portland, OR 97213-2236 2018-09-07
1225519002 Lacey Krebs Physical Therapist 507 Ne 47th Ave, Portland, OR 97213-2236 2018-08-28
1457832594 Monica Lynn Bastian Physical Therapist 507 Ne 47th Ave, Portland, OR 97213-2236 2018-08-27
1710467949 Joshua Bradley Keefer Physical Therapist 507 Ne 47th Ave, Portland, OR 97213-2236 2018-08-16
1164901708 Katrina Schenck Physical Therapist 507 Ne 47th Ave, Portland, OR 97213-2236 2018-08-13
1588143432 Jessica Doskow Physical Therapist 507 Ne 47th Ave, Portland, OR 97213 2018-08-11
1235618240 Ashlie Burgett Physical Therapist 507 Ne 47th Ave, Portland, OR 97213-2236 2018-08-09
1386122562 Andrew Lipiec Occupational Therapist 507 Ne 47th Ave, Portland, OR 97213-2236 2018-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831715176 Darnell Jackie Strong Social Worker 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 2020-06-23
1336775907 Redpoint Physical Therapy and Performance LLC Physical Therapist 4200 Ne Flanders St Unit B, Portland, OR 97213 2020-03-16
1801431218 Denise Dorgan-miller Occupational Therapy Assistant Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 2019-11-08
1619435617 Aspiration of Character Counseling Services, LLC Counselor 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1326407008 Julianna Vermeys Counselor 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
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Taxonomy Information

Taxonomy Code 2251S0007X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Sports

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861694648 Mary Jane C Ewing Physical Therapist 5149 Sw 26th Dr, Portland, OR 97239-1230 2007-06-04
1235778333 Weston Sports Performance Rehabilitation LLC Physical Therapist 777 Nw 19th Ave Apt 107, Portland, OR 97209-1391 2020-01-06
1548749823 Nathan Evans Physical Therapist 1305 Sw 1st Ave, Portland, OR 97201-5801 2018-08-08
1184962128 Michele Shivack Physical Therapist 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 2013-01-25
1740362714 Black Diamond Physical Therapy, Inc. Physical Therapist 4224 Ne Halsey St, Suite 340, Portland, OR 97213-1538 2006-10-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295213478 Megan Elizabeth Rennie Physical Therapist 18650 Nw Cornell Rd Ste 314, Hillsboro, OR 97124-9212 2018-07-31
1013326537 Good Samaritan Hospital Corvallis Physical Therapist 845 Sw 30th Street, Corvallis, OR 97331-8629 2014-08-08
1811252711 Michael A Schwarz Physical Therapist 85011 Tum A Lum Rd, Milton Freewater, OR 97862-7411 2012-07-07
1205444072 Heather Harrower Physical Therapist 845 Sw 30th St, Corvallis, OR 97331-8629 2020-07-17
1114535986 Zachary Lentini Physical Therapist 845 Sw 30th St, Corvallis, OR 97331-8629 2020-07-17
1154802890 Adam Paris Physical Therapist 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224-7259 2018-08-21
1730667080 Andre Heiber Physical Therapist 270 Nw Burnside Rd, Gresham, OR 97030-3836 2018-07-30
1548656143 Nw Physical Therapy Specialists Physical Therapist 7616 Sw Mohawk St, Tualatin, OR 97062-8121 2015-04-09
1609274133 Providence Health & Services- Oregon Physical Therapist 1627 Woods Ct, Hood River, OR 97031-2915 2014-12-16
1649610759 Rebecca Dobler Physical Therapist 1960 Nw 167th Pl, Beaverton, OR 97006-4803 2013-07-03
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Competitor

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City PORTLAND
Zip Code 97213

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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